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Five Classifications of Cleft Teeth

  1. Description: it’s just a crack on the enamel surface, without losing any dentin.

Symptoms: usually no symptoms.

Treatment: it only needs regular follow-up observation or feels that the cracks affect the appearance, and can be used for the restoration of the tooth appearance.

2、 Fracture bite

Description: a fractured bite, usually extending from the crown to the gums.

No symptoms of root canal treatment:

In the early stage, when sensitive to cold water or chewing food, there will be sharp stabbing pain when biting down and then releasing. At this time, many people mistakenly think it’s just tooth sensitivity and neglect to see a doctor as soon as possible.

In the middle and late stage, the pulp may have irreversible pulpitis, and slowly the pulp may be necrosis, inflammation around the root tip, and even abscess.

Symptoms of root canal therapy:

At the beginning, I didn’t feel much. The patient only felt that the broken surface of the bite head would be thick and the tongue would be uncomfortable to lick.

In the middle and late stage, inflammation around the root tip or eating will make the teeth weak and sore, and even abscess will grow around the teeth.

Treatment: if there are no symptoms, only regular follow-up is needed. If the fracture affects the dental pulp system, it needs to be evaluated by the physician, and then treated with vital pulp or pulp therapy. Finally, different repair methods can be used to restore the shape.

3. Split tooth

Description: according to the latest definition of the American Society of dental pulp diseases, the fracture of enamel, dentin and cementum surface is unknown, but the depth and extension are not necessarily.

No symptoms of root canal treatment:

At the initial stage, the crack is not deep, usually without any symptoms or sensitive to cold water; or when chewing food, when biting down and then releasing, there will be sharp stings. At this time, many people mistakenly think it’s just tooth sensitivity and neglect to see a doctor as soon as possible.

In the middle, late or deep fracture, the pulp may have been irreversible pulpitis, slowly the pulp may be slowly necrotic, the inflammation around the root tip or eating and biting will be weak and tender, biting pain, and even abscesses will grow around the teeth.

Symptoms of root canal therapy:

Initial stage: no feeling.

Metaphase and anaphase: inflammation around the root tip or eating will make the teeth weak and sore, and even abscess will grow around the teeth.

Treatment:

If there is no symptom, it is necessary to visit and observe regularly, and use different repair methods to restore the shape and prevent the crack from spreading. If the fracture affects the pulp system, it should be treated with vital pulp or pulp after being evaluated by doctors.

If the fracture extends too much, even to the tooth defect, it can not be preserved to continue to perform the function; then it is also a choice to remove the affected teeth and extract the teeth.

4、 Split teeth

Description: the teeth are completely broken and separated, usually extending from the crown to the gum. Split teeth may be caused by sudden excessive force, or may be the result of long-term accumulation of split teeth.

No symptoms of root canal treatment:

Usually the patient will find that there is a segment of the teeth shaking, which is very uncomfortable. Pulp may be irreversible acute pulpitis, very painful.

Symptoms of root canal therapy:

Usually the patient will find that there is a segment of the teeth shaking, which is very uncomfortable. After ignoring it for a long time, the inflammation around the root tip or eating will make the teeth weak and painful. The periodontal condition may appear or even grow abscesses.

Treatment: in this case, it is almost impossible to retain the teeth. Removing the affected teeth and extracting the teeth are the only options.

5、 Vertical longitudinal root fracture

Description: it originates from the longitudinal crack of the root, which may be limited to the root part or extended to the crown part.

No symptoms of root canal treatment:

Initial stage: when chewing food, there will be dull pain and meal pain.

Mid and late stage: pulp may have irreversible pulpitis, slowly pulp may slowly necrosis, inflammation around the root tip, and even produce deep periodontal pouch or abscess; or eating and biting will be weak and sore.

Symptoms of root canal therapy:

Initial stage: when chewing food, there will be dull pain and meal pain.

Middle and late stage: inflammation around the root tip, or even serious destruction of bone around the root, resulting in deep periodontal pouch, or abscess; or eating and biting will be weak and tender, biting pain.

Treatment: in this case, it is almost impossible to retain the teeth. It is also a choice to remove the affected teeth and extract the teeth. In some cases, the vertical root vertical fissure can be preserved by root tip surgery, but this requires the differential diagnosis of dental pulp physicians, and even in the course of surgery, the current differential diagnosis can only be known.

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